Facility Evaluation Report

Licensing Program Analyst (LPA) Alberto Lopez conducted the required annual inspection. LPA arrived unannounced and met with Administrator Toni Santos and LPA explained the purpose of the visit. The facility has a capacity of 6 residents. It is licensed to serve elderly residents age 60 and above, approved for 6 non-ambulatory residents. Facility is approved for 6 hospice waivers. One bedridden. The facility cares for elderly residents with dementia. Administrator certificate is current and expires on 02/12/2024

LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and observed the following:

Infection Control: The facility staff are using appropriate hand hygiene, mask and gloves while assisting residents with medications. Disposals of trash are done immediately after changing a resident. Staff are still cleaning and disinfecting throughout the day. Facility has sufficient PPE supplies.

Operational Requirements: The facility has plan to accept or retain clients with dementia. The facility has proof on file of enough liability insurance covering injury to residents and guest.

Physical Plant & Environment Safety: The facility is in a residential neighborhood and consisted of 5 resident’s bedrooms, 2 bathrooms, living room, kitchen, dining room, activity room, medication room, and activity area in the patio with shade. Facility has fire alarms/carbon monoxide detectors and were tested during visit. Knives are inaccessible to clients. No firearms or weapons are stored at the facility. LPA measured the hot water temperature in the bathrooms sinks. The hot water temperature measured 105.8 degrees F which is between the required range of 105-120 degrees.

Staffing : There appears to be sufficient staffing at the facility. Staff employed are all over the age of 18.

Personnel Records-Training : Staff files are maintained at the facility. All staff have current CPR/first aid training and evidence of on-going training.